Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 20-24 , January 2010

Percutaneous Drilling for the Treatment of Atraumatic Osteonecrosis of the Ankle

  • German A. Marulanda, MD

      Affiliations

    • Research Fellow, Department of Orthopaedics and Sports Medicine, University of South Florida, Tampa, FL
  • ,
  • Mike S. McGrath, MD

      Affiliations

    • Research Fellow, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD
  • ,
  • Slif D. Ulrich, MD

      Affiliations

    • Research Fellow, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD
  • ,
  • Thorsten M. Seyler, MD

      Affiliations

    • Research Fellow, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD
  • ,
  • Ronald E. Delanois, MD

      Affiliations

    • Co-attending Physician, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD
  • ,
  • Michael A. Mont, MD

      Affiliations

    • Attending Physician, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD
    • Corresponding Author InformationAddress correspondence to: Michael A. Mont, MD, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215.

References 

  1. LaPorte DM, Mont MA, Mohan V, Jones LC, Hungerford DS. Multifocal osteonecrosis. J Rheumatol. 1998;25:1968–1974
  2. Delanois RD, Mont MA, Yoon TR, Mizell M, Hungerford DS. Atraumatic osteonecrosis of the talus. J Bone Joint Surg Am. 1998;80:529–536
  3. Adelaar RS, Madrian JR. Avascular necrosis of the talus. Orthop Clin N Am. 2004;35:383–395
  4. Strokon A, Loneragan R, Workman GS, Van der Wall H. Avascular necrosis of the talus. Clin Nuc Med. 2003;28:9–13
  5. Mont MA, Schon LC, Hungerford MW, Hungerford DS. Avascular necrosis of the talus treated by core decompression. J Bone Joint Surg Br. 1996;78:827–830
  6. Miskew DBW, Goldflies ML. Atraumatic avascular necrosis of the talus associated with hyperuricemia. Clin Orthop Rel Res. 1980;148:156–159
  7. Haverstock BD, Barth LD, Jacobs AM. Ankle arthrodesis following avascular necrosis of the talus in a patient with lupus. J Am Podiatr Med Assoc. 1997;87:483–489
  8. Schmidt DM, Romash MM. Atraumatic avascular necrosis of the head of the talus: a case report. Foot Ankle. 1988;8:208–211
  9. Plate AM, Boyle BA. Review of avascular necrosis and HIV. AIDS Read. 2000;10:570–573
  10. Macnicol MF, Ludlam CA. Does avascular necrosis cause collapse of the dome of the talus in severe hemophilia?. Haemophilia. 1999;5:39–42
  11. Kitaoka HB, Patzer GL. Arthrodesis for the treatment of arthrosis of the ankle and osteonecrosis of the talus. J Bone Joint Surg. 1988;80A:370–379
  12. Zvijac JE, Lemak L, Schurhoff MR, Hechtman KS, Uribe JW. Analysis of arthroscopically assisted ankle arthrodesis. Arthroscopy. 2002;18:70–75
  13. Mont MA, Ragland PS, Etienne G. Core decompression of the femoral head for osteonecrosis using percutaneous multiple small-diameter drilling. Clin Orthop Relat Res. 2004;429:131–138
  14. Song WS, Yoo JJ, Kim YM, Kim HJ. Results of multiple drilling compared with those of conventional methods of core decompression. Clin Orthop Relat Res. 2007;454:139–146
  15. Marulanda G, Seyler TM, Sheikh NH, Mont MA. Percutaneous drilling for the treatment of secondary osteonecrosis of the knee. J Bone Joint Surg Br. 2006;88:740–746
  16. Ficat RP, Arlet J. Functional investigation of bone under normal conditions. In Ischemia and Necrosis of Bone, pp 29–52, edited by DS Hungerford, Williams and Wilkins, Baltimore, 1980.
  17. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int. 1994;15:349–353
  18. Zhang Y, Liu Y, Jiang Y. [Treatment of avascular necrosis of talus with vascularized bone graft.]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1998;12:285–287
  19. Hussl H, Sailer R, Daniaux H, Pechlaner S. Revascularization of a partially necrotic talus with a vascularized bone graft from the iliac crest. Arch Orthop Trauma Surg. 1989;108:27–29

 Financial Disclosure: None reported.

 Conflict of Interest: One author (M.A.M.) is a consultant for Stryker Orthopaedics and Wright Medical Technology. The other authors have no real or perceived conflicts of interest.

PII: S1067-2516(09)00296-8

doi: 10.1053/j.jfas.2009.07.004

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 20-24 , January 2010